STAFFING: 12190 - CCLR s.22(2)(b) - A licensee must ensure that each employee (b) practices implementing the fire drill system at least once each month.
Observation: The program has been open for five months. No fire drills have been conducted since the program has opened. The LO reviewed this requirement with the Licensee during the inspection.
Corrective Action(s): Ensure fire drills are practiced and recorded monthly.
Date to be Corrected: January 31, 2023
POLICIES AND PROCEDURES: 13020 - CCLR s.22(1)(b) - A licensee must: (b) have an emergency plan that sets out procedures to prepare for, mitigate, respond to and recover from any emergency.
Observation: On the day of the inspection a first aide kit was not available for the Licensee to use in the event of an injury or emergency.
Corrective Action(s): Ensure a first aide kit is available to use to respond and recover from and injury or emergency both on and off site.
Date to be Corrected: January 30, 2023
CARE AND/OR SUPERVISION: 14020 - CCLR s.34(2)(a) - Without limiting subsection (1), a licensee must ensure that (a) children attending a community care facility are divided into groups, with each group having no more children than that permitted in Schedule E.
Observation: The Licensee regularly cares for and transports two additional children from school which exceeds the programs maximum capacity of eight children to ten children. The LO reviewed this practice with the Licensee during the inspection in depth.
Corrective Action(s): Ensure that children attending a community care facility are divided in to groups have no more than that permitted in Schedule E.
Date to be Corrected: January 30, 2023
CARE AND/OR SUPERVISION: 14060 - CCLR s.39(1) - A licensee must ensure that children are supervised at all times by a person who is an educator, an assistant or a responsible adult.
Observation: On the day of the inspection two children were unaccounted for for one hour. Two children left the program while outdoors without permission or supervision. The Licensee was able to locate them and return them to care with the help of a family member. A reportable incident form was completed and submitted to Licensing. The LO reviewed active and continuous supervision with the Licensee during the inspection.
Corrective Action(s): Ensure children are supervised at all times.
Date to be Corrected: January 30, 2023
HYGIENE AND COMMUNICABLE DISEASE: 15030 - CCLR s.46(1) - A licensee must establish a program to instruct children in, and to practise the rules of, health and hygiene.
Observation: Children were observed eating in a play area and without hand washing being practiced before or after. LO reviewed this item with the License during the inspection.
Corrective Action(s): Ensure children are instructed to practice rules of health and hygiene.
Date to be Corrected: January 30, 2023
RECORDS AND REPORTING: 19060 - CCLR s.57(1)(a)(b)(c) - A licensee must keep current records for each child showing (a) the information set out in subsection (2), (b) if applicable, the information and agreements set out in subsections (2.1) and (2.2), and (c) the consents referred to in subsection (3).
Observation: Two children recently enrolled in the program did not have current records available at the time of the inspection.
Corrective Action(s): Ensure all children have accurate, current and complete registration information at all times.
Date to be Corrected: February 3, 2023
RECORDS AND REPORTING: 19070 - CCLR s.57(2)(a) - A licensee must keep, for each child, a record showing the following information: (a) name, sex, date of birth, medical insurance plan number and immunization status.
Observation: Eight children's files were reviewed and multiple children were missing care card details and immunization status.
Corrective Action(s): Ensure children's files are complete including medical insurance plan number and immunization status.
Date to be Corrected: February 3, 2023
RECORDS AND REPORTING: 19080 - CCLR s.57(2)(b) - A licensee must keep, for each child, a record showing the following information: (b) date of enrolment in the community care facility.
Observation: Eight children's files were reviewed and multiple children were missing enrollment date.
Corrective Action(s): Ensure all children's files are complete including date of enrollment.
Date to be Corrected: February 3, 2023
RECORDS AND REPORTING: 19100 - CCLR s.57(2)(d) - A licensee must keep, for each child, a record showing the following information: (d) name and telephone number of a parent, medical practitioner and emergency contact.
Observation: Eight children's files were reviewed and multiple children were missing Dr's name and contact details and emergency contacts.
Corrective Action(s): Ensure all children's files are complete including medical practitioner and emergency contact details.
Date to be Corrected: February 3, 2023
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